Provider Demographics
NPI:1518947431
Name:BAILEY, DEAN ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:ALAN
Last Name:BAILEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 A AVE
Mailing Address - Street 2:
Mailing Address - City:CORONADO
Mailing Address - State:CA
Mailing Address - Zip Code:92118-1913
Mailing Address - Country:US
Mailing Address - Phone:619-398-5495
Mailing Address - Fax:
Practice Address - Street 1:3235 ALBACORE ALY
Practice Address - Street 2:NEPMU-5 OIC
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92136-5199
Practice Address - Country:US
Practice Address - Phone:619-556-7070
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG0566732083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine